Individual
MR. MICHAEL REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6685 FERNWOOD DR, LISLE, IL 60532-3419
(773) 858-8828
Mailing address
680 N LAKE SHORE DR STE 1000, CHICAGO, IL 60611-8709
(630) 495-1770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.005533
IL
Other
Enumeration date
08/04/2015
Last updated
05/01/2019
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